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| 14 Days With a Quarantine Tracker Wristband: Does It Even Work? | 14 Days With a Quarantine Tracker Wristband: Does It Even Work? |
| (3 days later) | |
| HONG KONG — The images looked benign: a hand dangling chopsticks over a bowl of soup, a young man giving a thumbs up, a woman reclining in a bed at Ikea. | HONG KONG — The images looked benign: a hand dangling chopsticks over a bowl of soup, a young man giving a thumbs up, a woman reclining in a bed at Ikea. |
| But they drew outrage in Hong Kong in recent weeks because they seemingly showed people violating a mandatory quarantine. In two of the images, flimsy blue tracking wristbands, issued by the authorities to force those under isolation orders to stay inside, were visible; in the third, the woman was said to have cut hers off. | But they drew outrage in Hong Kong in recent weeks because they seemingly showed people violating a mandatory quarantine. In two of the images, flimsy blue tracking wristbands, issued by the authorities to force those under isolation orders to stay inside, were visible; in the third, the woman was said to have cut hers off. |
| Across the world, local leaders are taking wildly different approaches to sequestering people to thwart the spread of the coronavirus. In Beijing, travelers from abroad must spend 14 days in an isolation facility, at their own expense. In Moscow, nearly 200,000 cameras search for quarantine violators. | Across the world, local leaders are taking wildly different approaches to sequestering people to thwart the spread of the coronavirus. In Beijing, travelers from abroad must spend 14 days in an isolation facility, at their own expense. In Moscow, nearly 200,000 cameras search for quarantine violators. |
| Hong Kong in some ways has gone further than others. With the wristbands, the semiautonomous Chinese territory is the first place to both track people and place a marker on their bodies. Everyone arriving from foreign countries is required to wear the bands while remaining isolated for two weeks. | Hong Kong in some ways has gone further than others. With the wristbands, the semiautonomous Chinese territory is the first place to both track people and place a marker on their bodies. Everyone arriving from foreign countries is required to wear the bands while remaining isolated for two weeks. |
| A debate has ensued over whether it is a reasonable infringement on personal liberties. “What’s fascinating is that this is forcing us to confront the tension that can exist between freedom and well-being and liberty and health,” said Julian Savulescu, a philosopher at the University of Oxford. | A debate has ensued over whether it is a reasonable infringement on personal liberties. “What’s fascinating is that this is forcing us to confront the tension that can exist between freedom and well-being and liberty and health,” said Julian Savulescu, a philosopher at the University of Oxford. |
| Interviews with people required to wear the bracelets revealed views that fluctuated over the two weeks. But many eventually fixated on the same question: Was this high-tech bracelet actually just a strip of paper? | Interviews with people required to wear the bracelets revealed views that fluctuated over the two weeks. But many eventually fixated on the same question: Was this high-tech bracelet actually just a strip of paper? |
| Wristband Quarantine Days 1-2 | Wristband Quarantine Days 1-2 |
| When a health official attached the shiny blue bracelet with a QR code to Simran Lalwani’s wrist, it did not strike her as much stranger than anything else lately. | When a health official attached the shiny blue bracelet with a QR code to Simran Lalwani’s wrist, it did not strike her as much stranger than anything else lately. |
| After her in-person classes at the University of Exeter in England were canceled, she had spent 12 hours on a flight in a hazmat suit, goggles and mask, willing herself not to eat or visit the restroom in order to minimize her risk of being infected by another passenger. | After her in-person classes at the University of Exeter in England were canceled, she had spent 12 hours on a flight in a hazmat suit, goggles and mask, willing herself not to eat or visit the restroom in order to minimize her risk of being infected by another passenger. |
| At the airport, two stations — one for bracelet attachment, the other to sign a quarantine contract — reinforced what she already knew. In recent weeks, there had been a spike in coronavirus cases in Hong Kong, primarily involving people returning from abroad. | At the airport, two stations — one for bracelet attachment, the other to sign a quarantine contract — reinforced what she already knew. In recent weeks, there had been a spike in coronavirus cases in Hong Kong, primarily involving people returning from abroad. |
| Those under quarantine could serve out their two weeks anywhere in the city, so long as they wore their wristband and stayed within the perimeter they registered on an accompanying app. | Those under quarantine could serve out their two weeks anywhere in the city, so long as they wore their wristband and stayed within the perimeter they registered on an accompanying app. |
| “I don’t mind,” Ms. Lalwani, 19, said over WhatsApp as she settled into her hotel, “if it means that it will keep both myself and everyone else that much safer.” | “I don’t mind,” Ms. Lalwani, 19, said over WhatsApp as she settled into her hotel, “if it means that it will keep both myself and everyone else that much safer.” |
| If she violated the terms, she could be shipped off to a government quarantine facility. She would also risk a fine of around $645, six months in jail and social media retribution. It was the online mob that worried her most. She was familiar with its loose relationship with facts. | If she violated the terms, she could be shipped off to a government quarantine facility. She would also risk a fine of around $645, six months in jail and social media retribution. It was the online mob that worried her most. She was familiar with its loose relationship with facts. |
| The coronavirus villain in the Ikea bed who had “cut off” her wristband, according to posts on social media and several news outlets, was a friend. The young woman, a fellow Hong Konger studying abroad, had actually never been issued a wristband, Ms. Lalwani said. An interview with the 19-year-old design student confirmed this; she said she had flown in from New York before the wristband program applied to arrivals from the United States. | The coronavirus villain in the Ikea bed who had “cut off” her wristband, according to posts on social media and several news outlets, was a friend. The young woman, a fellow Hong Konger studying abroad, had actually never been issued a wristband, Ms. Lalwani said. An interview with the 19-year-old design student confirmed this; she said she had flown in from New York before the wristband program applied to arrivals from the United States. |
| Priscilla Song, a medical anthropologist and professor at the University of Hong Kong, said she felt a “wave of relief” after arriving at the Hong Kong airport from St. Louis with her husband and two children and being assigned wristbands. | Priscilla Song, a medical anthropologist and professor at the University of Hong Kong, said she felt a “wave of relief” after arriving at the Hong Kong airport from St. Louis with her husband and two children and being assigned wristbands. |
| “Yes, as an American, it’s pretty unpalatable,” Ms. Song said of the tracking system. But ultimately, she added, she saw it as “evidence of a functioning public health system.” | “Yes, as an American, it’s pretty unpalatable,” Ms. Song said of the tracking system. But ultimately, she added, she saw it as “evidence of a functioning public health system.” |
| By the second day, however, doubt started to creep in. At the airport, Ms. Song and the other arrivals had learned that they would be texted a PIN. Only with the PIN could they register the boundaries of their digital cage. But none had received the PIN. | By the second day, however, doubt started to creep in. At the airport, Ms. Song and the other arrivals had learned that they would be texted a PIN. Only with the PIN could they register the boundaries of their digital cage. But none had received the PIN. |
| The longer they spent gazing at this thing on their wrist, the more skeptical they became that it — on its own — did anything. | The longer they spent gazing at this thing on their wrist, the more skeptical they became that it — on its own — did anything. |
| “They are just, like, waterproof strips of paper,” Ms. Song said. “I don’t know if they have any digital things embedded in them.” | “They are just, like, waterproof strips of paper,” Ms. Song said. “I don’t know if they have any digital things embedded in them.” |
| The same thought struck Pak Lun Lau, who was quarantined in his parents’ apartment. He said it was strange that there had been so much hype around something so “useless.” | The same thought struck Pak Lun Lau, who was quarantined in his parents’ apartment. He said it was strange that there had been so much hype around something so “useless.” |
| When Ms. Song’s PIN finally arrived, the app prompted her to walk the perimeter of her apartment. | When Ms. Song’s PIN finally arrived, the app prompted her to walk the perimeter of her apartment. |
| After around 30 seconds, it decided she was done. From then on, whenever her phone was in an unregistered spot, it emitted a horrible beep. Stopping it required scanning every family member’s wristband QR code. | After around 30 seconds, it decided she was done. From then on, whenever her phone was in an unregistered spot, it emitted a horrible beep. Stopping it required scanning every family member’s wristband QR code. |
| But what if you just left your phone inside your apartment, within the registered boundaries, and walked outside? Would the authorities ever know you violated quarantine? | But what if you just left your phone inside your apartment, within the registered boundaries, and walked outside? Would the authorities ever know you violated quarantine? |
| Days 3-6 | Days 3-6 |
| At least Ms. Song had gotten a PIN. By Day 4, most of those interviewed still had not received one. | At least Ms. Song had gotten a PIN. By Day 4, most of those interviewed still had not received one. |
| They began to feel anxiety not about being tracked by the government, but about being blamed for not being tracked. | They began to feel anxiety not about being tracked by the government, but about being blamed for not being tracked. |
| When Arhan Chhabra, 15, who was quarantining with his mother, finally got someone on the help line after days of calls, “They told us to just not worry about the band and self-quarantine anyway,” he said. | When Arhan Chhabra, 15, who was quarantining with his mother, finally got someone on the help line after days of calls, “They told us to just not worry about the band and self-quarantine anyway,” he said. |
| Updated June 12, 2020 | Updated June 12, 2020 |
| So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. | So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. |
| Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. | |
| A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. | A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. |
| The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. | The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. |
| Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. | Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. |
| Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. | Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. |
| States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. | States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. |
| Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. | Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. |
| If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) | If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) |
| Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. | Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. |
| The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. | The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. |
| If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. | If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. |
| If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. | If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. |
| But he feared that if he took the bracelet off, “It will seem like we are trying to escape,” he said. | But he feared that if he took the bracelet off, “It will seem like we are trying to escape,” he said. |
| The Department of Health and the Innovation and Technology Bureau have said that the tracking system is a work in progress, and that some of the 60,000 bracelets it plans to issue are more advanced than others. Most people have received their PINs, they said. | The Department of Health and the Innovation and Technology Bureau have said that the tracking system is a work in progress, and that some of the 60,000 bracelets it plans to issue are more advanced than others. Most people have received their PINs, they said. |
| In statements, the agencies have also said that only some wristbands can reveal people’s locations and that others must work in tandem with a cellphone. But many people interviewed said that their introduction to the bracelet at the airport left them thinking that the bracelet itself tracked them. | In statements, the agencies have also said that only some wristbands can reveal people’s locations and that others must work in tandem with a cellphone. But many people interviewed said that their introduction to the bracelet at the airport left them thinking that the bracelet itself tracked them. |
| In recent days, the authorities have begun distributing larger wristbands to some travelers that appear capable of reporting the locations of quarantined people, independent of cellphones. | In recent days, the authorities have begun distributing larger wristbands to some travelers that appear capable of reporting the locations of quarantined people, independent of cellphones. |
| Farah Siddiqui, who co-founded a group to support people in quarantine in Hong Kong, said that she had heard of people exploiting the system to evade quarantine, but that most had embraced it. | Farah Siddiqui, who co-founded a group to support people in quarantine in Hong Kong, said that she had heard of people exploiting the system to evade quarantine, but that most had embraced it. |
| Still, fear may play a role. “The government can lie to us and tell us this is tracking you all the time, and I think if you believed that you probably wouldn’t go out,” she said. | Still, fear may play a role. “The government can lie to us and tell us this is tracking you all the time, and I think if you believed that you probably wouldn’t go out,” she said. |
| For the family of Tristan Ng, 15, there was an extra incentive to stay put. Their hotel does not provide quarantined guests with keys. Lock yourself out, and the staff will call the police. “We’re pretty much trapped in a jail cell,” he said. | For the family of Tristan Ng, 15, there was an extra incentive to stay put. Their hotel does not provide quarantined guests with keys. Lock yourself out, and the staff will call the police. “We’re pretty much trapped in a jail cell,” he said. |
| Day 14 | Day 14 |
| At the exact hour that the quarantine countdown clock was up, Ms. Song deleted the app. Her daughters were asleep, so cutting the bracelets — including one they had put on a stuffed bear — would wait until the morning. | At the exact hour that the quarantine countdown clock was up, Ms. Song deleted the app. Her daughters were asleep, so cutting the bracelets — including one they had put on a stuffed bear — would wait until the morning. |
| Across town, Ms. Lalwani received a text saying that her quarantine was up. But this was irrelevant — she was now in a hospital room with four other coronavirus patients. | Across town, Ms. Lalwani received a text saying that her quarantine was up. But this was irrelevant — she was now in a hospital room with four other coronavirus patients. |
| On Day 3, she had gotten a call alerting her that the passenger next to her on the plane, a friend who wore a matching hazmat suit, had tested positive. Days later, Ms. Lalwani developed a cough. | On Day 3, she had gotten a call alerting her that the passenger next to her on the plane, a friend who wore a matching hazmat suit, had tested positive. Days later, Ms. Lalwani developed a cough. |
| After she called the number in the app, an ambulance drove her to a coronavirus testing site. Later, she was placed in a low-risk hospital ward, where she would have to stay until two back-to-back tests were negative. | After she called the number in the app, an ambulance drove her to a coronavirus testing site. Later, she was placed in a low-risk hospital ward, where she would have to stay until two back-to-back tests were negative. |
| “It must have been when we were putting on hazmat suits,” she said. “I must have touched something she touched. It shows how contagious it is.” | “It must have been when we were putting on hazmat suits,” she said. “I must have touched something she touched. It shows how contagious it is.” |
| So, in the end, Hong Kong’s rigid quarantine system seemed to work. But what had kept Ms. Lalwani fully isolated were her own instincts. She could have quarantined in her family home, but the night before she arrived, she booked a hotel room on a whim. | So, in the end, Hong Kong’s rigid quarantine system seemed to work. But what had kept Ms. Lalwani fully isolated were her own instincts. She could have quarantined in her family home, but the night before she arrived, she booked a hotel room on a whim. |
| “I just had a hunch that something was going to go wrong,” she said. “And I was right.” | “I just had a hunch that something was going to go wrong,” she said. “And I was right.” |